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MR. DONAVON CLAY LAWRENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MT

Contact information

Practice address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 742-3792
(605) 698-3141
Mailing address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 742-3792
(605) 698-3141

Taxonomy

Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary

Other

Enumeration date
06/27/2008
Last updated
06/27/2008
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